<div id ="wrap">
    <div class="left" rowspan="5">
        <img src="<?php echo base_url(); ?>assets/images/thanhvien.png" alt="some_text"/>
    </div>
    <div class="right">
        <form name="registry" action="" method="post">
            <table style="width:100%;">
                <tr>
                    <td class="style1">
                        Họ và Tên</td>
                    <td class="style1">
                        <input name="fullname" id="Text1" type="text" /></td>
                </tr>
                <tr>
                    <td class="style5">
                        Email</td>
                    <td class="style5">
                        <input name="email" id="Text2" type="text" /></td>
                </tr>
                <tr>
                    <td>
                        Mật khẩu</td>
                    <td>
                        <input name="pass" id="Text5" type="password" accesskey="*" tabindex="*" /></td>
                </tr>
                <tr>
                    <td>
                        Xác nhận Mật khẩu</td>
                    <td>
                        <input name="repass" id="Text4" type="password" accesskey="*" /></td>
                </tr>
                <tr>
                    <td>
                        <input id="Checkbox1" type="checkbox" /> Thỏa thuận sử dụng&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                        <br />
                        <br />
                        &nbsp;<input name="mySubmit" type="submit" value="Đăng ký" /></td>
                </tr>
            </table>
        </form>
    </div>
</div>
